Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.26 / $130.26 / $130.26	Facility		$130.26	$130.26	$130.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $122.27	Professional		$111.15	$111.15	$122.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $335.16 / $335.16 / $335.16	Professional		$335.16	$335.16	$335.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Facility		$111.15	$111.15	$111.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $141.56	Professional		$111.15	$111.15	$141.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.48 / $111.15 / $285.98	Professional		$94.48	$111.15	$285.98
United Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $117.82	Professional		$111.15	$111.15	$117.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $145.61	Professional		$111.15	$111.15	$145.61